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| Table 3: Summary of all studies | ||||||||||||||
| Author | Study type | Study alloc | Mean duration | Study size | Dress type |
Dress change | Analysis method | Insert site culture | Blood culture | Catheter tip culture | Local inflam | CRS | CRI | Other |
| Reynolds 1997 | comp | R | 5.6 | 100 | OP3000 Tg |
2nd dail | unpair
t test |
no sign diff | - | no sign diff | - | - | - | critical
ICU patients |
| T-Aurand 1997 | comp | Med Rec |
6.5 | 3931 | T TgG HPT |
NI NI NI |
chi2 Odds ratio CI |
- | - | HPT
<TG p <0.001 T < TG p<0.008 T <s HPT p<0.01 |
- | - | No
HPT < HPT P <0.001 |
cost
saving from CRI HPTD < no HPT |
| Brandt 1996 | exp | R | 22.3 21.7 |
101 | OP
3000 G |
OD OW |
z
score 1 tail K\Meier MWhitney |
no sign diff | no sign diff | no sign diff | - | no sign diff | - | cost
comp OP3000<G |
| Taylor 1996 | eval | All | 30 | 104 | TgTl | NI | Wilcoxon matched | no sign diff | - | - | - | 0.30% | - | 1
to 2nd dress p = 0.001 1 to final dress p = 0.2119 |
| Engervall 1995 | eval | R | 39.5 46.0 |
32 | Tg | OW TW |
Fishers Log Rank K\Meier |
p
<0.07 TW < OW |
- | TW
< OW p <0.05 |
- | p <0.08\TW <\OW | no sign | extra
dress TW<OAW p <0.08 |
| Moro 1994 | cohort | All | 8.5 -12.8 | 607 | T G |
NI 2 - 3days |
Pearson Odds ratio CI 95% |
56.5 10.8-296 |
- | - | - | - | p<
0.0017 G < T |
|
| Maki 1993 | comp | R | 5.16 | 176 | GA GC2% GB |
2nd
dail 2nd dail 2nd dail |
Odds
ratio CI 95% |
- | - | - | - | no sign diff | GC2%
com GB OR 0.26 CI 0.07 - 0.91 p <0.02 |
|
| Freiberger 1992 | quasi experimental | R | NI | 60 | TgC TgB GB GC4% |
M
W F M W F M W F M W F |
chi2 analysis of variance |
- | - | - | more often in TgB and GB | - | - | boys CL site infected more often than girlsp <0.044 |
| Conly 1989 | comp | R | 13.5 17.9 |
79 | OP G |
2nd
dail 2nd dail |
chi2
t test Fishers MWhitney |
p
<0.01 G < T |
- | - | - | p
<0.015 G < T |
p
<0.002 G < T |
20
variables to predict CRS CRI |
| Young 1988 | comp | 5 where nursed | NI | 168 | OPICU OP OP G |
TW OW O 10 dys 3W |
chi2 Yates T test |
- | no sign diff | - | no sign diff | no sign diff | ICU
pts OP ward G gp diff P <0.0005 |
|
| Lawson 1986 | comp | R | NI | 365 | TgG G |
OW 3 x a wk |
T
test chi2 Fishers |
- | - | - | no sign diff - | no sign | - | gps sign different diagnosis |
| Andersen 1986 | comp | R | 3.00 3.10 |
145 | OP NOB |
prn prn |
chi2
Yates Wilcoxon |
p
< 0.01 OP < NOB |
- | p
<0.01 OP < NOB |
p
<0.01 OP < NOB |
no sign diff | - | |
| Powell 1985 | comp | R | NI | 435 | OP OPB OPB GB |
OW OW M W F M W F |
Fisher | - | - | - | - | no sign diff | no sign diff | |
| Prager 1984 | comp | R | NI | 162 | G GB |
OD OD |
chi2 pair t test |
- | - | - | - | no sign diff | no sign diff | site/sub<jug p<0.025 duration 1-7 days < 8-30 days <0.005 |
| Nehme 1984 | comp | R | NI | 187 | OP GB |
OW TW |
chi2 | - | * | * | - | * | 0.34% 0.63% |
cost
comp OP<GB p <0.89 |
| Palidar 1982 | comp | All | 17.8 | 32 | OP G |
OW TW |
Percent | - | - | - | - | - | 1.00% 0.60% |
cost
mp OP<G |
| Powell 1982 | comp | R | 24.0\22.0 | 261 | OP GB |
OW 3W |
chi2 | - | - | - | - | no sign diff | no sign | |
| Shivnan 1991 | experimental | R | NI | 98 | Tg G |
4th
day OD |
chi2 tt estFisher |
no sign diff | no sign diff | - | - | nil | - | cost
comp Tg<G |
| Vazquez 1984 | eval | Cons | NI | 100 | TB | 7 - 10 days | percent | 7.60% | - | - | - | - | 1.00% | 12
died cath not cultured |
| Wheeler 1986 | comp | NI | 14.5\16.4 | 63 | T G |
OW 3 per wk |
percent | - | - | - | - | - | T
- 0% G- 4.25% |
cost
comp similar |
| Willie 1993 | clinical trial | R | NI | 101 | OP OP3000 |
OW | MHaensl no diff |
- | - | - | - | 3.79% 1.35% |
- | |
Return to CPRN Systematic Review - Central
Line Dressings
Last Updated on 25/06/1999
By Roy Sneddon
|
Last revised:
01 Jan 1970
URL:http://www.joannabriggs.edu.au/cvl/clvtbl3.php |
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